Activation of the thrombopoietin receptor by mutant calreticulin in CALR-mutant myeloproliferative neoplasms

M Araki, Y Yang, N Masubuchi… - Blood, The Journal …, 2016 - ashpublications.org
M Araki, Y Yang, N Masubuchi, Y Hironaka, H Takei, S Morishita, Y Mizukami, S Kan…
Blood, The Journal of the American Society of Hematology, 2016ashpublications.org
Recurrent somatic mutations of calreticulin (CALR) have been identified in patients
harboring myeloproliferative neoplasms; however, their role in tumorigenesis remains
elusive. Here, we found that the expression of mutant but not wild-type CALR induces the
thrombopoietin (TPO)-independent growth of UT-7/TPO cells. We demonstrated that c-MPL,
the TPO receptor, is required for this cytokine-independent growth of UT-7/TPO cells. Mutant
CALR preferentially associates with c-MPL that is bound to Janus kinase 2 (JAK2) over the …
Abstract
Recurrent somatic mutations of calreticulin (CALR) have been identified in patients harboring myeloproliferative neoplasms; however, their role in tumorigenesis remains elusive. Here, we found that the expression of mutant but not wild-type CALR induces the thrombopoietin (TPO)-independent growth of UT-7/TPO cells. We demonstrated that c-MPL, the TPO receptor, is required for this cytokine-independent growth of UT-7/TPO cells. Mutant CALR preferentially associates with c-MPL that is bound to Janus kinase 2 (JAK2) over the wild-type protein. Furthermore, we demonstrated that the mutant-specific carboxyl terminus portion of CALR interferes with the P-domain of CALR to allow the N-domain to interact with c-MPL, providing an explanation for the gain-of-function property of mutant CALR. We showed that mutant CALR induces the phosphorylation of JAK2 and its downstream signaling molecules in UT-7/TPO cells and that this induction was blocked by JAK2 inhibitor treatment. Finally, we demonstrated that c-MPL is required for TPO-independent megakaryopoiesis in induced pluripotent stem cell–derived hematopoietic stem cells harboring the CALR mutation. These findings imply that mutant CALR activates the JAK2 downstream pathway via its association with c-MPL. Considering these results, we propose that mutant CALR promotes myeloproliferative neoplasm development by activating c-MPL and its downstream pathway.
ashpublications.org